Alami A A, Haddani J, Abidallah M, Ouardi F, Driguil A, Mehadji B A
Service de Chirurgie Cardio-Vasculaire, Hôpital Ibn Rochd, Casablanca, Maroc.
J Mal Vasc. 2002 Apr;27(2):96-9.
Behçet's disease is a chronic vascularitis characterized by recurrent ulcers of the mouth and genitalia and iridocyclitis. Vascular complications involving venous thrombosis and arterial lesions are rare. We report a case of Behçet's disease in 30 year-old man revealed by a voluminous right femoral aneurysm and a thrombosed aneurysm of the left iliofemoral trunk. Disease exacerbation was marked by oral ulceration and ocular lesions that delayed surgical cure for 7 days. After surgical resection of the aneurysm, a femoro-femoral bypass was constructed with a polytetrafluoroethylene graft. The left iliofemoral aneurysm was left intact. After 4 years of regular follow-up, there have been no surgical complications. The timing of surgery in patients with a voluminous aneurysm is debated during phases of active disease.
白塞病是一种慢性血管炎，其特征为口腔和生殖器反复溃疡以及虹膜睫状体炎。涉及静脉血栓形成和动脉病变的血管并发症较为罕见。我们报告一例30岁男性白塞病患者，其表现为巨大的右股动脉瘤和左髂股干血栓形成的动脉瘤。疾病加重表现为口腔溃疡和眼部病变，导致手术治疗延迟了7天。在动脉瘤手术切除后，用聚四氟乙烯移植物构建了股-股旁路。左髂股动脉瘤未处理。经过4年的定期随访，未出现手术并发症。在疾病活动期，对于巨大动脉瘤患者的手术时机存在争议。
